For the first time, Fort Worth received a bronze ranking for its wellness-related policies, becoming one of 10 cities recognized for overall improvement in health policies from 2018 to 2019.

A new report from CityHealth finds that Fort Worth and other large U.S. cities are making considerable strides in adopting policies that improve health and quality of life. Many of these reforms occurred in the area of tobacco and e-cigarette regulation, in the wake of new concerns about the safety of those products, especially for youth. Complete-streets policies also saw major gains, as experts have sounded the alarm that pedestrian deaths have increased 35% in the last decade.

Cities were assigned a gold, silver, bronze or no medal, depending on the strength of their policies.

CityHealth, an initiative of the de Beaumont Foundation and Kaiser Permanente, helps cities achieve better results for their residents by advancing a menu of nine proven policies that improve people’s day-to-day quality of life, well-being and health.

Localities are assessed according to the strength and number of the policies they have in place.

Among the nation’s 40 largest cities, there were eight gold medal cities, eight silver medal cities, 14 bronze medal cities and 10 cities that did not earn a medal.